Article

Do general treatment guidelines for Asian American Families have applications to specific ethnic groups? The case of culturally-competent therapy with Korean Americans

Department of Child Development and Family Studies, Purdue University, USA.
Journal of Marital and Family Therapy (Impact Factor: 1.01). 08/2004; 30(3):359-72. DOI: 10.1111/j.1752-0606.2004.tb01246.x
Source: PubMed

ABSTRACT To serve Korean American families effectively, marriage and family therapists need to develop a level of cultural competence. This content analysis of the relevant treatment literature was conducted to discover the most common expert recommendations for family therapy with Asian Americans and to examine their application to Korean Americans. Eleven specific guidelines were generated: Assess support systems, assess immigration history establish professional credibility, provide role induction, facilitate "saving face," accept somatic complaints, be present/problem focused, be directive, respect family structure, be nonconfrontational, and provide positive reframes. Empirical support (clinical and nonclinical research) and conceptual support for each guideline are discussed, and conclusions are reached regarding culturally competent therapy with Korean American families.

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    • "In a series of quasi-intervention analogue studies, the authors tested specific cultural hypotheses regarding interaction effects of client and therapist ethnicity and cultural value orientation, therapist counseling style, and session goal on ratings of therapy process. These studies report significant main effects of therapist self-disclosure of coping strategies (B. S. K. Kim et al., 2003), use of a directive counseling style (Li & Kim, 2004), and problem-focused interventions (B. S. K. Kim et al., 2002) on measures such as therapist empathy, credibility, and competence. However, the complex ways in which therapist and client variables interact across therapy situations have proven more difficult to tease apart. "
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